eMedinewS14th March 2014, Friday

Dr K K AggarwalPadma Shri and Dr B C Roy National Awardee

Dr KK Aggarwal

President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Editor in Chief IJCP Group, National Vice President Elect, Indian Medical Association; Chairman Ethical Committee Delhi Medical Council, Hony. Visiting Professor (Clinical Research) DIPSAR; Chairman (Delhi Chapter) International Medical Sciences Academy (March 10–13); Hony Director IMA AKN Sinha Institute (08–09); Hony Finance Secretary National IMA (07–08); Chairman IMA Academy of Medical Specialties (06–07); President Delhi Medical Association (05–06), President IMA New Delhi Branch (94–95, 02–04);
For updates follow at
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Dark Chocolate good for the heart

Dark chocolate thought to promote relaxed arteries, also have biochemical effects that may discourage atherosclerosis suggests a report published in the March 2014 issue of the FASEB Journal.

In a randomized, double–blind study, eating dark chocolate—acutely and over weeks—not only improved objective measures of endovascular function, it also improved biochemical markers that reflect leukocyte activation, inflammation, and other signs of atherogenesis.

Changes in endothelial function were reflected in improved flow–mediated dilation (FMD), blood pressure, and augmentation index (AIX), while "changes in leukocyte–cell counts, plasma cytokines, and leukocyte adherence markers after chocolate consumption point toward a less–activated state of cellular adherence and, hence, a less atherogenic milieu, according to the authors, led by Dr Diederik Esser (Top Institute Food and Nutrition and Wageningen University, the Netherlands).

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Zee News – Health Wealth Show

Dr kk Aggarwal on Zee Show

Cancer Prevention–Health Wealth Zee News Show2
Potbelly Obesity–Health Wealth Zee News Show
Cancer Prevention–Health Wealth Zee News Show1
Vitamin D Health Wealth
Pneumonia–Health Wealth Zee News Show
Sudden Cardiac Death
Depression
Can Alcohol be Prescribed as Medicine
Health Wealth: All about Paralysis

cpr10 Mantra The CPR 10 Mantra is – "within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10×10 i.e. 100 per minute."

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VIP’s on CPR 10 Mantra Video
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Ringtone – CPR 10 Mantra Hindi
Ringtone – CPR 10 Mantra English

There is a ritual and tradition of offering food to God before eating

sprritual blog

This is a Vedic reminder to oneself that one should eat only those foods that are offered to God. Each time you offer food to God, it is a reminder to you to change your decision and choices. For example, alcohol, tobacco, onion, garlic, radish, etc. are not offered to God. If they are part of your food, there are chances that you will not consume these food items, if you observe this ritual.

Cheating is permitted out of 21 meals in a week. Over a period of time people have stopped following this ritual and now eat some foods, which cannot be offered to God in all their 21 meals. This is the reason why the incidence of lifestyle diseases is increasing in the community.

cardiology news

Addiction to Worry

Carole started counseling with me because she was depressed. She had been ill with chronic fatigue syndrome for a long time and believed her depression was due to this. In the course of our work together, she became aware that her depression was actually coming from her negative thinking – Carole was a constant worrier. Many words out of her mouth centered on her concerns that something bad might happen. "What if I never get well?" "What if my husband gets sick?" "What if I run out of money?" (Carole and her husband ran a very successful business and there was no indication that it would not go on being successful). "What if my son gets into drugs?" "What if my kids don’t get into good colleges?" "What if someone breaks into the house?"

Her worry was not only causing her depression, but was also contributing to her illness, if not actually causing it. Her worry caused so much stress in her body that her immune system could not do its job of keeping her well. Yet even the awareness that her worry was causing her depression and possibly even her illness did not stop Carole from worrying. She was addicted to it. She was unconsciously addicted to the sense of control that worry gave her.

I understood this well because I come from a long line of worriers. My grandmother’s whole life was about worrying. She lived with us as I was growing up and I don’t remember ever seeing her without a look of worry on her face. Same is with my mother – constant worry. Of course, I picked up on it and also became a worrier. However, unlike my mother and grandmother, who worried daily until the day they died, I decided I didn’t want to live that way. The turning point came for me the day my husband and I were going to the beach and I started to worry that the house would burn down and my children would die. I became so upset from the worry that we had to turn around and come home. I knew then that I had to do something about it.

As I started to examine the cause of worry, I realized that worriers believe that worry will stop bad things from happening. My mother worried her whole life and none of the bad things she worried about ever happened. She concluded that nothing bad happened because she worried! She really believed that she could control things with her worry. My father, however, never worried about anything, and nothing bad ever happened to him either. My mother believed that nothing bad happened to my father because of her worry! She really believed until the day she died (from heart problems that may have been due to her constant worry) that if she stopped worrying, everything would fall apart. My father is still alive at 92, even without her worrying about him!

It is not easy to stop worrying when you have been practicing worrying for most of your life. In order for me to stop worrying, I needed to recognize that the belief that worry has control over outcomes is a complete illusion. I needed to see that, not only is worry a waste of time, but that it can have grave negative consequences on health and well–being. Once I understood this, I was able to notice the stomach clenching that occurred whenever I worried and stop the thought that was causing the stress.

Carole is in the process of learning this. She sees that her worry makes her feel very anxious and depressed. She sees that when she doesn’t worry, she is not nearly as fatigued as when she allows her addiction to worry to take over. She sees that when she stays in the moment rather than projecting into the future, she feels much better. The key for Carole in stopping worrying is in accepting that worry does not give her control.

Giving up the illusion of control that worry gives us is not easy for anyone who worries. Yet there is an interesting paradox regarding worry. I have found that when I am in the present moment, I have a much better chance of making choices that support my highest good than when I’m stuck thinking about the future. Rather than giving us control, worry prevents us from being present enough to make loving choices for ourselves and others. Worrying actually ends up giving us less control rather than more!

News Around The Globe

  • A new study has revealed that obesity in adolescence or early adulthood has significant association with increased risk for multiple sclerosis (MS). The study will be presented at the American Academy of Neurology (AAN) 66th Annual Meeting that will be held in Philadelphia from April 26 to May 3, 2014. The study researchers noted that individuals with BMI >30 kg/m2 at the age of 20 were twice more likely to develop MS as compared to the non–obese subjects.
  • Adults with hearing impairment have increased odds of being depressed as compared to those with excellent hearing or those who are completely deaf, reports a recent study published in JAMA Otolaryngology–Head and Neck Surgery. Of note, women were more likely to report depression than men, but less likely reported hearing problems when surveyed.
  • Uterosacral ligament suspension (ULS) and sacrospinous ligament fixation (SSLF), the two extensively used tissue transvaginal approaches for apical prolapse, have comparable efficacy for the treatment of prolapse and stress urinary incontinence. The two approaches may be equally safe and effective at 2 years. Barber and colleagues conducted the OPTIMAL randomized trial and the results were published in the March 12 issue of JAMA. Among the 374 women recruited with either uterine or posthysterectomy vault prolapse, the surgical success rates were 59.2% for ULS and 60.5% for SSLF.
  • The US Food and Drug Administration (FDA) has asked Sanofi and Regeneron, the makers of alirocumab, to monitor patients currently taking the drug. Alirocumab, a human monoclonal antibody for proprotein convertase subtilisin/kexin type 9 (PCSK9), is an LDL–C lowering drug. The FDA suspects the drug for possible neurocognitive adverse events. The FDA had stated its concern in annual reports published in February and March.
  • Researchers from The Netherlands report in Annals of Oncology that the histological subtype of a colorectal cancer strongly influences its metastatic pattern. Autopsy results from 1679 patients with metastatic colorectal cancer and data from 88 patients from the Total Mesorectal Excision (TME) trial who had synchronous metastases to evaluate the patterns of metastases of the three histological subtypes were used. Most mucinous adenocarcinoma (58.6%) and signet–ring cell carcinoma (70.7%) patients had metastases at multiple sites, compared with 49.9% of adenocarcinoma patients.

CPR 10 success stories

1. Hands–only CPR 10 English

2. Hands–only CPR 10 (Hindi)

3. Ms Geetanjali, SD Public School Successful Story

4. Success story Ms Sudha Malik

5. BVN School girl Harshita does successful hands–only CPR 10

6. Elderly man saved by Anuja

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Rabies News (Dr. A K Gupta)

Can the IM and ID routes of vaccination be used interchangeably?

It is recommended by many internationally reputed experts that the phenomenon of mixing of IM and ID schedules is not to be practiced and must be avoided as far as possible.

cardiology news

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinewS)

  • A novel retrospective, single–center study conducted in Japan has reported that long–term treatment with antithyroid drug is beneficial in children with Graves’ disease. Of note, the risk of adverse effects was low and remission could be achieved in 45–50% of the patients. The drug of choice is methimazole.
  • A new research published online in the Journal of the American Academy of Child and Adolescent Psychiatry reports that signs of atypical development capable of signaling the broader autism phenotype (BAP) can be detected by the age of 1 year in siblings of children with autism spectrum disorder (ASD). The study included 294 infants considered to be at high–risk for ASD on account of having an older sibling with the disorder and 116 low–risk infants. Interestingly, 28% of the high–risk group were noted to have "nontypical development" (non–TD) by the age of 36 months, and 17% were diagnosed with ASD.
cardiology news

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinewS)

  • The longitudinal, observational cohort study – Coronary Artery Risk Development in Young Adults (CARDIA), published online March 12 in the Journal of the American Heart Association, reports that young women who develop diabetes during pregnancy may progress to have subclinical atherosclerosis after 12 years. Gestational diabetes was clearly associated with heightened risk of early atherosclerosis, reported the study.
  • According to a report published March 13 in Lancet Diabetes, heart failure should be regarded as a significant cardiovascular outcome in diabetes and should no longer be ignored. Experts John McMurray, Hertzel Gerstein, Rury Holman and Marc Pfeffer have urged the researchers conducting clinical trials to include heart failure-related hospitalizations as a primary composite cardiovascular outcome in the trials
cardiology news

Fever

Fever does not mean presence of infection. There are many situations where there may be fever without infection and hence needs no antibiotics.

  • Sepsis is a clinical syndrome, which results from the dysregulation of inflammatory response to an infection. The temperature is between 36°C to 38.30°C. Heart rate is often more than 90 per minute.
  • Symptomatic inflammatory response syndrome means a clinical syndrome, which results from dysregulated inflammatory response to any infections such as inflammation of the pancreas, inflammation of the vessels, clot formations in the veins.
  • Many antibiotics can cause fever; unless they are discontinued, fever will not subside.
  • Hyperthermia is a condition with elevated body temperature but it is not called fever. Examples are exposure to heat or heat stroke and in response to anesthetic drugs and anti-psychotic drugs.
  • Hyperthermia may not respond to anti–fever drugs.
  • When fever is more than 41.5°C, it is acute hyperpyrexia.
  • Hyperpyrexia is usually seen in patients with severe infections but it may also occur in brain hemorrhage. It responds to anti–fever drugs.
  • High temperature without infection is found in condition of hyperfunctioning of the thyroid gland.
  • Recreational drugs such as Ecstasy can also cause fever without any infection.
  • Mild fever can also occur after exertion.
cardiology news

Total CPR since 1st November 2012 – 88792 trained

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Avoid bhang at Holi, if you are a heart patient

Heart patients should avoid taking bhang (cannabis) as it can increase the heart rate and also cause a sudden rise in blood pressure. But, those who are socially committed should first consult their doctor, said Padma Shri, Dr. B C Roy National Awardee & DST National Science Communication Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Sr National Vice President Indian Medical Association.

Bhang, marijuana, charas are all derived from the cannabis plant.

Bhang is prepared from the leaves and flowers of the cannabis plant. For ages, it has been a social tradition especially during Holi. Bhang is a mild preparation.

Charas is made from the resin of the cannabis plant. It is more potent than either Bhang or Ganja. It is nearly as potent as the concentrated cannabis resin preparations called hashish.

Marijuana (ganja) induces the typical state called ‘high’ and usually includes feelings of relaxation, mild paranoia and anxiety, alteration of visual, auditory, and olfactory senses, fatigue, and stimulation of the appetite. But these may vary in different people. Its effects on the body are marked increases in heart rate, blood pressure and conjunctival infection.

About HCFI : The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National Commemorative stamps and one cancellation stamp, and who has conducted one to one training on" Hands only CPR" of 88792 people since 1st November 2012.

The CPR 10 Mantra is – "Within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10×10 i.e. 100 per minute."

emedipicstoday emedipics

CPR 10 Camp at Press Club of India on 8th March 2014 by Heart Care Foundation of India

press release

Rapid flu test more accurate when positive

vedio of day

today video of the dayPadma Shri & Dr B C Roy National Awardee,Dr KK Aggarwal on Tackling tension headaches

Hands only CPR 10 Utsav, 15th December 2013

Dr KK Aggarwal receives Harpal S Buttar Oration Award from Nobel Laureate Dr Ferid Murad

eMedi Quiz

The following separation technique depends on the molecular size of the protein:

1.Chromatography on a carboxymethyl (CM) cellulose column.
2.Iso–electric focusing.
3.Gelfiltration chromatography.
4.Chromatography on a diethylaminoethly (DEAE) cellulose column.

Yesterday’s Mind Teaser: A 2–month–old baby with acute icteric viral hepatitis like illness slips into encephalopathy after 48 hours. The mother is a known hepatitis B carrier. Mother’s hepatitis B virus serological profile is most likely to be:

1. HBsAg positive only.
2. HbsAg and HBeAg positive.
3. HBsAg and HBe antibody positive.
4. HBV DNA positive.

Answer for yesterday’s Mind Teaser: 2. HbsAg and HBeAg positive.

Correct answers received from: Dr P K Sahu, Dr Narahari, Anil Tandon, Dr Bitaan Sen & Dr Jayashree Sen, Arvind Gajjar, Dr K V Sarma, Daivadheenam Jella, Dr Sangeeta Sawant, Dr Jainendra Upadhyay, Arvind Diwaker, Abhay Naik, Dr Avtar Krishan.

Answer for 12th March Mind Teaser: 2.Trophic ulcer.

Correct answers received from: Dr Bitaan Sen & Dr Jayashree Sen, Dr Jainendra Upadhyay, Dr Avtar Krishan.

Send your answer to ijcp12@gmail.com

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medicolegal update

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medicolegal update
medicolegal update

Under the wagon

A farm boy accidentally overturned his wagonload of wheat on the road. The farmer that lived nearby came to investigate.

"Hey, Willis," he called out, "forget your troubles for a while and come and have dinner with us. Then I’ll help you overturn the wagon."

"That’s very nice of you," Willis answered, "but I don’t think Dad would like me to."

"Aw, come on, son!" the farmer insisted.

"Well, OK," the boy finally agreed, "but Dad won’t like it."

After a hearty dinner, Willis thanked the host. "I feel a lot better now, but I know Dad’s going to be real upset."

"Don’t be silly!" said the neighbor. "By the way, where is he?"

"Under the wagon," replied Willis.

medicolegal update

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medicolegal updatemedicolegal update

medicolegal update

Situation: A patient on 10 units of insulin developed hypoglycemia with 11 units of insulin.
Reaction: Oh by God! Why was additional insulin given?
Lesson: Make sure that the insulin dose is correctly calculated. The formula is 1500/total daily dose. The value will be the amount of sugar fluctuation with one unit of insulin.

medicolegal update

For I don’t care too much for money, for money can’t buy me love. The Beatles

medicolegal update

Dr KK Aggarwal: Inhaling diesel exhaust Fumes causes heart attack or stroke http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: The most positive action we can take about the past is to change our perception of it http://bit.ly/15QdVeB #Health

medicolegal update
  1. Dear Sir, Very informative News. Regards: Dr Kanak

Forthcoming events

Date: Saturday 2PM–Sunday 3PM, 26–27 April 2014
Venue: Om Shanti Retreat Centre, Bhora Kalan, Pataudi Road, Manesar
Course Directors: Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal and BK Sapna
Organisers: Heart Care Foundation of India. Prajapati Brahma Kumari Ishwariye Vidyalaya and eMedinews
Facilities: Lodging and boarding provided (one room per family or one room for two persons). Limited rooms for first three hundred registrants.
Course: Meditation, Lectures, Practical workshops
Atmosphere: Silence, Nature, Pyramid Meditation, Night Walk
Registration: SMS– Vandana Rawat – 9958771177, rawat.vandana89@gmail.com
SMS – BK Sapna 9650692204, bksapna@hotmail.com

Note: Donation in Favor of Om Shanti Retreat Centre will be welcomed

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Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta, Prof.(Dr).C V Raghuveer

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